The abdominoplasty is the operation consisting in the removal of excess skin and abdominal fat and in the correction of the muscle flaccidity. This situation of excess skin and relaxation of the abdominal wall is usually occur in patients who have had weight gain and loss later or in women who have had multiple pregnancies. The abdominoplasty get a abdomen flatter, firmer and a more narrow waist.
The intervention was performed under general anesthesia, an incision practiced above the Rubiano’s hair that extends to the hips. It frees the skin of the abdomen and, if necessary, sutures are reinforced with the abdominal muscles. It is hauled down the excess skin is removed and.
After the operation the patient will be a special gaza, reinforced with a bandage, depending on each individual case. The scars around the navel and in the lower abdomen will improve with the passage of time. However, in some cases it is necessary to make a scar revision with local anesthesia. More than any other intervention of Aesthetic Surgery is worth the phrase: “the surgeon makes the stitches and the patient the scar”.
As possible, although rare complications include a loss of vitality (necrosis) of the skin above the pubis that may require a longer postoperative treatment. They may also appear seromas and/or bruising requiring evacuation.
The best candidates are men or women in good shape and weight controlled but with accumulation of fat in the belly or sagging skin, this is particularly common in patients with pregnancy in puberty and multiple pregnancies, patients with large weight loss, patients with severe abdominal trauma, among other things. Patients with which they attempt to undergo this procedure must be subjected to psychological assessments and rigorous cardiovascular medical examinations.
Although there are different techniques, the teachers’ conventional continues to be one of the more surgeries performed. With the patient on anestasia general or regional, it makes a cut in the pubic area in the direction of the hip bones. In is followed by a comprehensive descolamiento between fat and muscle to release the block of skin and adipose tissue up to the start point of the abdomente “stomach” (appendix xiphoid). The navel remains insert, but it is crossed by way of eyelet in the skin. After in carried out an approximation of both edges of the sheath of each abdominal muscle to correct the muscular flaccidity (diastasis recti). The patient with a half-sitting is performed a traction to distal to calculate the level of resection and their proper union edge to edge. The navel is exteriorized by opening the skin and removing the fatty tissue in circular form.
Currently there are variants of the technique as well as associations to other procedures. Without doubt the evolution of the technique has provided settings to provide better results. Zinder described a horizontal incision at the navel. The so-called mini-tummy tuck is an option reserved for patients with flaccidity only at the bottom. The use of lipoaspiration and sutures in the fascia are associations that potencializan results and accommodate the skin.
Clearly this major procedure, so care must be rigorous. The attention to detail and good planning with laboratory evaluations, and anesthetic cardiovascular are essential. Photographs, simulations, measures, among others are part of the artillery to ensure a good result. The rest, the use of stripes forming as well as the massages are mandatory elements surgical for a adequate evolution, medicines puffiness and a good diet ensure a good recovery.
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